| Foreskin management: Survey of Canadian pediatric urologists. | |
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MedLine Citation:
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PMID: 20705867 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To study the approaches to foreskin management of pediatric urologists in Canada. DESIGN: An online questionnaire comprising several survey questions and clinical vignettes. SETTING: Canada. PARTICIPANTS: All members of the Pediatric Urologists of Canada. MAIN OUTCOME MEASURES: Diagnoses and management strategies for common foreskin conditions seen in consultation, including how many pediatric urologists perform neonatal circumcisions, patient costs, and the reasons for performing the surgery. RESULTS: Of the 32 members surveyed, 24 (75%) responded. By far most respondents do not perform neonatal circumcisions; however, many perform circumcisions under general anesthesia for religious and cultural purposes. Typically, patient costs for circumcision range from $500 to $1000. Management of asymptomatic physiologic phimosis is very conservative, with surgeons unlikely to intervene. Neither the presence of ballooning of the foreskin during voiding nor the child's age affects physicians' tendency toward conservative management. Balanitis xerotica obliterans was the only scenario in which most respondents believed there was a need to intervene with either topical steroids or circumcision. CONCLUSION: Our data support the hypothesis that pediatric urologists across Canada are very similar in their conservative approach to the management of common foreskin issues. Our goal is to improve the knowledge base among primary care providers and subsequently decrease patient and family anxieties. |
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Authors:
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Peter D Metcalfe; Remon Elyas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Canadian family physician Médecin de famille canadien Volume: 56 ISSN: 1715-5258 ISO Abbreviation: Can Fam Physician Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0120300 Medline TA: Can Fam Physician Country: Canada |
Other Details:
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Languages: eng Pagination: e290-5 Citation Subset: IM |
Affiliation:
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Stollery Children's Hospital in Edmonton, Alta. pmetcalf@ualberta.ca |
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Comment In:
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Can Fam Physician. 2010 Oct;56(10):986-7
[PMID:
20944034
]
Can Fam Physician. 2010 Oct;56(10):986 [PMID: 20944035 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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